Formerly known as Amza Travel Centre Sdn Bhd

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Registration

Name of Fair: REHACare - Dusseldorf

Package Type:

Participant(s) (Names as in Passport)	Email Address	Mobile Number

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Company Name:

Contact Person:

Contact Number:

Email Address:

"We enclosed a cheque hereby for a non-refundable, for the above mentioned trave fair package. (Cheque made payable to : AMZA TRAVEL CENTRE SDN BHD)"

Cheque No.

Amount

Dated

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